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A left hemilaminectomy from C4 to T5 with endoscopic exploration and cyst drainage was performed. At last follow-up, the patient was ambulating and returned to work. Aggressive decompression of mass lesions resulting in myelopathy, such as the spinal cystic hygromas, resulted in improved motor function as well as overall function status.<\/jats:p>","DOI":"10.1136\/bcr-2019-230326","type":"journal-article","created":{"date-parts":[[2019,8,29]],"date-time":"2019-08-29T07:36:43Z","timestamp":1567064203000},"page":"e230326","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Rare case of cystic hygroma in the epidural space resulting in multilevel spinal cord compression"],"prefix":"10.1136","volume":"12","author":[{"given":"Christopher","family":"Payne","sequence":"first","affiliation":[{"name":"Allegheny General Hospital - Western Pennsylvania Hospital Medical Education Consortium, Pittsburgh, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael J","family":"Gigliotti","sequence":"additional","affiliation":[{"name":"Allegheny General Hospital - Western Pennsylvania Hospital Medical Education Consortium, Pittsburgh, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alejandro","family":"Castellvi","sequence":"additional","affiliation":[{"name":"Allegheny General Hospital - Western Pennsylvania Hospital Medical Education Consortium, Pittsburgh, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Yu","sequence":"additional","affiliation":[{"name":"Allegheny General Hospital - Western Pennsylvania Hospital Medical Education Consortium, Pittsburgh, Pennsylvania, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,8,28]]},"reference":[{"key":"2025082722255095000_12.8.e230326.1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(00)02450-4"},{"key":"2025082722255095000_12.8.e230326.2","doi-asserted-by":"publisher","DOI":"10.1080\/02841850701352038"},{"key":"2025082722255095000_12.8.e230326.3","doi-asserted-by":"crossref","first-page":"E1117","DOI":"10.1097\/BRS.0b013e3181ffe9a7","article-title":"Cervical epidural lymphangioma presenting as a hemorrhagic cyst","volume":"36","author":"Lee","year":"2011","journal-title":"Spine"},{"key":"2025082722255095000_12.8.e230326.4","doi-asserted-by":"crossref","DOI":"10.1227\/01.NEU.0000255351.79324.41","article-title":"Lymphangioma of the clivus","volume":"60","author":"Kaya","year":"2007","journal-title":"Neurosurgery"},{"key":"2025082722255095000_12.8.e230326.5","doi-asserted-by":"crossref","first-page":"E48","DOI":"10.1097\/01.brs.0000250992.55556.fe","article-title":"A rare case of cavernous lymphangioma in the epidural space of the cervicothoracic spine","volume":"32","author":"Chu","year":"2007","journal-title":"Spine"},{"key":"2025082722255095000_12.8.e230326.6","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200302010-00023"},{"key":"2025082722255095000_12.8.e230326.7","doi-asserted-by":"crossref","first-page":"418","DOI":"10.1016\/j.otohns.2007.11.018","article-title":"Nonsurgical therapies for lymphangiomas: a systematic review","volume":"138","author":"Acevedo","year":"2008","journal-title":"Otolaryngol Head Neck"},{"key":"2025082722255095000_12.8.e230326.8","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1097\/00007632-199901010-00018","article-title":"Lymphangioma presenting as a dumbbell tumor in the epidural space of the lumbar spine","volume":"24","author":"Saito","year":"1999","journal-title":"Spine"},{"key":"2025082722255095000_12.8.e230326.9","doi-asserted-by":"crossref","unstructured":"Sadrizadeh A , Rezaie HE . 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